CODY RYAN BEAVER (M.D.) – Pediatric Orthopaedic Surgery Physician, NPI 1578881470
Pediatric Orthopaedic Surgery Physician
Main info
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for CODY RYAN BEAVER (M.D.)
1400 S Coulter St
Amarillo, TX 791061786
Phone: (806) 414-9800
Fax: (806) 354-5689
Type: Location
3601 4th St
Mail Stop 9436
Lubbock, TX 79430
Phone: (806) 743-4263
Fax: (806) 743-1394
Type: Location
1500 COOPER ST
FORT WORTH, TX 761042710
Phone: (682) 885-4405
Type: Location
3601 4TH ST
MAIL STOP 9436
LUBBOCK, TX 794309436
Phone: (806) 743-4263
Fax: (806) 743-1394
Type: Mailing
PO BOX 733784
DALLAS, TX 753733784
Phone: (682) 885-6483
Fax: (682) 885-3113
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $590.
Total Amount is formed as General ($590) + Research ($0) + Ownership ($0) = $590.
Last reported payment date: 2024-08-03 • Largest payer in this snapshot: Bioventus LLC ($240).
Total Amount
$590
General + Research + Ownership
Payments
11
Total payment records
General Amount
$590
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $240 |
| Arthrex, Inc. | $225 |
| Pylant Medical | $96 |
| Smith+Nephew, Inc. | $28 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2017-08-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170828001693 | I | Orthopedic Surgery | TX | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 79106)
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